Section

if already immuned just watch ,if not immuned, then you ttt as, if immunocompetent just give vaccine and if immunosupprsed, pregnant or neonat give IVIG

wha t is dignosis and ttt pf hairy cell leukemia

ttt W cladribin DX it stain with trap

what is female orgasm disorder

delay or cant get orgasm

what is genito pelvic pain/ penetration disorder

is pain and fear of penetration for more than 6 month

what is condition associated with caufo latie spots

-neurofibromatosis type1 -mccune -fanconi

what is the most common disease associated with pagets $ of the breast

it is highly associated with adenocarcinoma

how to dx renal stone

to diagnose renal stone do US or non contrast CT. If symptom is typical or the patient is pregnant do U/S to avoid radiation

UTI complication in elder

UTI is the leading cuz of acute incontinence in elder . UTI can cause delerium

what is condyloma accumunata

HPV, it turn white W application of acetic acid . you can ttt if small with application of trichloroacetic acid or podophyllin if large surgery of electrical

what is hepatic encephalopathy

ammonia converted by liver to urea . if ammonia increase as in liver cirrosis it stimulate GABA and inhibit glutamate the symptom start as increase need to sleep which then progress to alter mental and even can go to coma

what is alkalosis effect on Ca+

Ca+ and H+ bound to albumin and in alkalosis the H will leave the albumin and so the albumine will bind more ionised calactive so symptom of hypo Ca

EBV in the CNS

can cause primary CNS lymphoma, which appear as weak ring enhanced lesion and may be EBV in the CSF